Antwort Is VBAC too risky? Weitere Antworten – Is VBAC worth the risk
While a successful VBAC is associated with fewer complications than an elective repeat C-section, a failed trial of labor after a C-section is associated with more complications, including a uterine rupture. Uterine rupture is rare, happening in less than 1% of women who attempt a trial of labor after cesarean.One rare but serious risk with VBAC is that the cesarean scar on the uterus may rupture (break open). Although a rupture of the uterus is rare, it is very serious and may harm both you and your fetus. If you are at high risk of rupture of the uterus, VBAC should not be tried.VBAC has risks. The most serious one is that an old C-section scar could tear open during labour (uterine rupture). This is rare but can be very serious if it happens. A C-section is major surgery and has risks.
Who is a bad candidate for VBAC : There is general agreement that a woman who has experienced a uterine rupture in the past should not attempt VBAC. A woman who has had a prior cesarean section, is now pregnant and her baby's weight is estimated to be greater than 4,500 grams (or approximately 9 lbs.)
Has anyone had 5 C-sections
Conclusion: The higher order (5-9) repeat caesarean sections carry no specific additional risk for the mother or the baby when compared with the lower order (3 or 4) repeat caesarean sections.
Is second VBAC easier : Now for the good news: the majority of second and subsequent labours are much quicker than the first! This only applies if you have had a previous vaginal birth, as it's this process that makes subsequent labours generally quicker and easier.
VBACs are sometimes done with labor induction, but this may increase the risk for uterine rupture. So if your labor needs to be induced, it may be safer to plan a repeat cesarean. That said, if you go into labor before your scheduled cesarean, it may be best to try a VBAC.
Recently, ACOG stated that VBAC is safer than a repeat cesarean, and VBAC with more than one previous cesarean does not pose an increased risk.
Why are VBACs discouraged
A delivery date that comes and goes can mean the baby is getting too big — and VBACs with large babies may also increase the risk of uterine rupture and perineal tears — which is part of the reason why some doctors don't perform VBACs on women who are more than a week past their due date.VBACs are sometimes done with labor induction, but this may increase the risk for uterine rupture. So if your labor needs to be induced, it may be safer to plan a repeat cesarean. That said, if you go into labor before your scheduled cesarean, it may be best to try a VBAC.“So, every patient is different and every case is unique. However, from the current medical evidence, most medical authorities do state that if multiple C-sections are planned, the expert recommendation is to adhere to the maximum number of three.”
If the mother wants to have a third cesarean section, she should have a thorough consultation with an obstetrician and pay attention to the pregnancy interval between cesarean births, which should be 3-5 years for the mother's body to recover. completely to be able to complete the pregnancy in the best way.
What is the best age gap for VBAC : Age: A 2007 study found that women younger than 35 were more successful and had fewer complications during a VBAC.
Are C-sections harder the second time : Disadvantages of an ERCS include: A repeat c-section usually takes longer than the first operation. This is because you will have scar tissue, which can make the operation more difficult. Scar tissue might also damage your bowel or bladder.
How risky is a repeat C-section
The more C-sections you've had, the greater is your risk of developing problems with the placenta — such as the placenta implanting too deeply into the uterine wall (placenta accreta) or the placenta partially or completely covering the opening of the cervix (placenta previa).
Background: Trial of vaginal birth after Caesarean (VBAC) is considered acceptable after one caesarean section (CS), however, women wishing to have trial after two CS are generally not allowed or counselled appropriately of efficacy and complications.The success rate of VBACs is between 60 to 80 percent. VBAC often carries fewer risks than a repeat cesarean and can offer a shorter recovery time and hospital stay, and a higher chance of successful breastfeeding.
Is VBAC more painful : Delivering vaginally will allow you to avoid further scarring on your uterus, and you will have less pain and a shorter recovery time than with a C-section.